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目的 分析高额住院费用的成因及影响因素 ,以控制医疗费用的过快增长。方法 选择某综合医院 2 0 0 2年住院费用在 10万元以上的病例共 2 69例 ,分析其费用构成 ,并对其影响因素进行多元回归分析。结果 2 69例病人的平均费用为 15 9765元 ,以治疗费最高 ,所占比例为 5 1 3 2 %,药费其次 ,所占比例为 3 6 2 5 %。住院费用的影响因素为 :住院天数、院内感染和预后。结论 降低过高的住院费用要缩短无效住院日、控制院内感染以及减少无效的治疗和用药。
Objective To analyze the causes and influencing factors of high hospitalization expenses in order to control the excessive growth of medical expenses. Methods A total of 299 cases of hospitalization costs over 100,000 yuan in a general hospital were selected to analyze their cost constitutions, and the multiple regression analysis was conducted on the influencing factors. Results The average cost of 2 69 patients was 15 9765 yuan, with the highest treatment cost, accounting for 51.32%, and the second was medicine, accounting for 36 52%. Factors affecting the cost of hospitalization: hospital days, nosocomial infections and prognosis. Conclusion Reducing the cost of hospitalization can shorten the length of hospital stay, control nosocomial infections and reduce ineffective treatment and medication.